Senior Claims Specialist Job in Sacramento 95826, California Us
Senior Claims Specialist
Experienced Senior California Workers' Compensation Claims Specialist responsible for handling inventory of workers compensation files. Position is located in Sacramento, California.
Candidate selected will be responsible for handling all aspects of workers' compensation claim files including investigation, coverage/compensability, reserving, litigation management, medical management, and resolution/negotiation. Responsible for ensuring proper administration and application of benefits, labor codes, and workers compensation rules/laws. Maintain diary system and utilize the electronic claim management system to assist in management and documentation of claim information/activity.
*Five (5) or more years of experience administering California Workers' Compensation claims.
*Self Insured Certificate, WCCA/WCCP, and/or college degree
*Candidates must have very strong technical knowledge including medical terminology/management, litigation management/process, California Workers' Compensation laws/procedures, benefit administration, and claim resolution/WCAB process.
*Possess excellent customer service, decision making/analytical and negotiation skills.